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0083 LUMBERT MILL ROAD
: ._ ,� . , . , s , , � � . . ,, s _. x e . V e '� �', 'i Town Building. T n o Barnstable Post This Ca"rd SoRThat it is Visible From'the Street :Approved-Plans Must be Retained on Job and this;Card Must be.Kept 3 " MASS.3 ,�� Posted Until Final Inspection Has Been Made, ��� �� „TFa IWhere a Certificate of Occupancy is Required;such Building shall Not be Occupied until auFinal Inspection has been made:. ... ,...a .w. Permit No. B-18-276 Applicant Name: FRANCIS S SHEEHAN Approvals Date Issued: 02/05/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 08/05/2018 Foundation: Location: 83 LUMBERT MILL ROAD,CENTERVILLE Map/Lot: 168-049 Zoning District: RC Sheathing: Owner on Record: CONSTANTINE,ANTHONY C&CONSTANCE E. Contractor Name..,,,,FRANCIS S SHEEHAN Framing: 1 Address: 83 LUMBERT MILL RD Contractor License: CSSL-105941 2 CENTERVILLE, MA 02632 Est. Project Cost: $4,700.00 Chimney:" x y: Description: weatherization Permit Fee: $85.00 Insulation: :` Project Review Req: Fee Paid $85.00 Final: Date. y,. 2/5/2018 - fF ft � Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: t This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents focwhichahis permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or'road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: `' e, 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final' Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis' Project Street Address �a� UY1'1 Village Owner k.VJ Address !!91 3 CC YM b911 At I Telephone — - wtoV Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuationg Construction Type, Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wooYas ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ eycjtln� ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑existing ❑ new size _ Other: �� TOWN OF SAPNSTASL Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes If yes, site plan review# Current Use 1`► Proposed Use �� , f - - - APPLICANT INFORMATION \ � (BUILDER � HOMEOWNER) Name Telephone Number Addressl�� License # L Mhout Home Improvement Contractor Email r er s Comp ARion # ALL CONSTRUCTION DEBRIS RESU TING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE . . DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL- FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I HOME OWNER WEATHERIZATION W0RK PERMIT: PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. I fOU'"/ C.C."1;� �1�; l /0 Chereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation on the property located at: f T The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Y Weather stripping; air sealing; attic& basement insulation; exterior wall insulation; ventilation measures In consideration of the weatherization work to be done at my home I agree to the following: 1. I give permission to Housing Assistance Corporation to access the property with such equipment and materials as may be necessary to perform weatherization. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read the provisions of. his agfepment and,give y cogent. xV.- Home Owner(signature) r fy Home Owner email: - c , " • �, ate: « t- 1 !� Agent:(signature) _t ...: (.1Lrl Date: Agency Approved Weatherization Company All Cape Energy Alternative Weatherization Cape_C-d_ln-sul.ation_ Cape Save Cazeault �rFrontier Energy Solutions Lohr Home Improvement w ....... Agency Signature: Date: For Natural Gas Customers: I have received the National Grid Discount Rate Application form from my auditor. ZL A"I Customer Initials' The Coininonwenith of Massachttsr its Depart»tetit pJ lnrlr�ttznl:. zciitents. .: .1 Congress Street,Suite '66 1 Boston:; A I1 02.114 10.17 ►v�vv lrutss4ov/�li�r 1�'ocktrs" (:nmpynSnteunylnsurance Affidar,tt. 9uildcrslt.ntitr�etnrsiGlectriciansi'IictTtbeis. T. 4E FILED W.rf'H..TtfE PERJtI"f l(fNC UTFLl71t#`"V. A'piilicant I format do t?lea5c 1'.eint.Leirihiv aal7le.(f3us nesstt7rgan zaliartlTndtvidualj: C 1 t -Inc. I�' Cit}','Slate!"Itj� >,r?[,a ��; g� G t� 5 1 'l���rle i# 7 4'` t ``: 1 ' _ . i 1 f Are you an employes^f likkjithe +ppropriate bux; � Type of project(reg6ired).:' !, Tam s•em.ployer.v i i .i cmpio ees(EulEt rtie7nr part tidx;el`,' :j'; Neat conStru:tion 2_. l am a ale proprietor or l vmc ship widhave no cniplcy kin f,e rmr iit 4: Q Ftetnodrtin cortip any cttpacttg l�ia wort eta° trt uraru:a equired:j ). ❑.lDernotition 3 i a'n a homeowmer:domg ail wort,m�,elf(14o t orkarti`wi ri insurance;equtrcd.j'� t0(� Buildiiigadditit7n j 1 1 t am;a home ywne and will be kite n5 iortracabrs to con duct Ali work on my property, I.will ensure;fiat all, one a;ors either have workcm.cdmpersanon trutirance or arc sole I I;,Q Electrical repairs or-additiOn's 3 p oprictos wnfi tea cirtptoyees: Ptuatb—n-repairs or<additions }mtt agencat pn r°zutur rrxl I have.h r� the�uaeontractnts li;ttct�*,i�u lttach�d s1=.ccc; 1'tea lull Cnntractore itat e emF3oY uy anQ�Ye wprkcr2 rump,tn�urat c+. I�,�Roof Cc pacts S oV c aru a;cornana�hanar:d tta.of ccrs ttYacererure i. ivir r, a,otexernpuan per;vit,tu c, t i. (Aher AS-2¢l(4):nncr wr� ve rtv craploy es..N'o wockets 0rfip irikience required] `1.syappiicauibiliutchccksbx., 4!hWsi the.section hel6wshouingtheirkorkers'compenoationpoficyrinfomnhtr. Wun e`o vners who submit this 7t�idavit indica,ing they are'ttoing ail work ana then hire ouLside Bunt:actiirs must,>ubmit a rein ai3tda'vii lit licaungsuch. *Contra twvthal c teck':iliis box trust aitarhed art additional—sheet sht i4ing lu iaange of the suU cantr3ctiixmif:stuie;wht i}ier+it riot hose entities have employees Iftlic Ub-contieetois have,emplovc sz they nuu(providc 4!0r workers comp.paltcv nutrtier. Trritsan etnlrtnyer tJtrrt:cs provting wor`Cters'cdmpensalir�n incrrranu.for my et►tivyet's. Belaw is tlte'palicy nail joh:site informatran: -(' Insurance Ccimpany larnc 1 `A Policy or Self-it s.I is 'ti: ( C.S f j. f-S �'� t:xpuatton l)atp lah-S'ttt Addiess_ zl#fat h a copy of the.worl:et s' eompet�ttion pottc� dec:larattnn pale(stiat+tng tier policy d esptrattd'n d t Endure to-securc coverabu as reduired utrder i�I{3`l �, 151 §?5A is acrimrnal violation:Qunt twble'l ya fine up to$1,5(lO,.{a andiiarane-year Emprisi7nment>;as well.aa c:iyil laen;}Ities iri the:�fann of a S;TC7[?"�'�fRK C3IZf)t�It al�c-a Iitie ot;up to�2�t!Ot a. day against the tolatoe to :y aPthla.,s atertiei t may be Earwarded to lie(}Rice Intie ti nti ns.c>f the Ul<1 ear ittstirir"ce. Cuvetaje reri#'ic.ition. { f do.liereby.vertif. nikir di.e pain's el zies of perjury,the f the infornrntion:proivided r brave tr tntl correer. Date_ -771 = Offreint use"ofl(v. Do'nbt)vrtte 4if th6 iii ire a,'tirlie cam.leted by-city or:turvn•nffrt•.iir[ City or Town.*. f er.mi/Lic:z:nscf# Issuing Authority'(circle.one)s: l..Board oflfWth 2. Building Departinent 3 C.'ity(Town(Jerk- 4. Electrical Inspector Plumbing Inspector 5.Other _ coatactNeson: F'tznne ; I . � (( i'f7/7 Z l?✓d 11l,L"f.�"I rJI(i� �d<J rf%,jldl<�dG SS Uffc.e:gf C.ensumer Aff.t rs Business Regcilation License;or registration valid for.individual use oply before::Ehe expiration date If found retuxn to: ' HOME IMPROVEMENT CONTRACTOR pffice of Consumer.Affairs and Business Regulation Registration 160854 Type: YP to Park Plaza-Suite 5170 Expiratton g/8/2018 LLC Boston;M.A.02111.6 FRONTIER ENERGY SOLUTIONS ''" FRANCIS SHE EHAN f 502 HARWICH RD BREWSTER;M02631 ` ` [lridei3ecretary' N hval' : ithou signature: A' Construction Supervisor SP y ecalt .Restricted to: ' massacl usetts Departmerrt.of"'Public Safety CSSL-IC-Insulation.Contractor Board of E.ca�t�ling-Reguiai'ions ari l Standards License. CSSLA 5941 Construction Supervisor Specialty FRANCIS S SHEEHAN E 502 HARWICH'RD ` BREWSTER MA 02631 u Failure to.Possess a current edition of the Massachusetts State Building Code is cause for revocation of this.license. s �xpiratic�n: DPS Licensing information visit:-V YWWWASS.GOVJDPS rn ssiiiner 02%17l20"18 r r ATE(MMIDD/YYYY) ACC?RV CERTIFICATE OF LIABILITY INSURANCE 03/16/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME; Rogers and Gray Processing ROGERS & GRAY INSURANCE AGENCY INC a/c°No Ext: (508)398-7980 p� No: E-MAIL il ma ro ePs ra ADDRESS: � s g v•com 434 ROUTE 134 INSURERS AFFORDING COVERAGE NAIC# SOUTH DENNIS MA 02660 INSURER A: AIM MUTUAL INS CO 33758 INSURED INSURER B: FRONTIER ENERGY SOLUTIONS INC INSURERC: INSURER D: 502 HARWICH ROAD INSURERE: BREWSTER MA 02631 INSURER F: COVERAGES CERTIFICATE NUMBER: 134675 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY LTR TYPE OF INSURANCE INSD SUER POLICY NUMBER MM/DD/YYYY) (MMIDDfYYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO-JECT ❑LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR - EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE _ ERH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBER EXCLUDED? N/A N/A N/A VWC10060153152017A 03/14/2017 03/14/2018 --- - (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Frontier Energy Solutions Inc. 502 Harwich Road AUTHORIZED REPRESENTATIVE Brewster MA 02631 Daniel M.Cro1<1ey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD y 4 � iT �+ u r? g9yk a 5 g"xrn�nj 7��Rdr� •v e � to- AN- 4.1 by ' .•V L �4q,}� yJ s Am 1,42' 2�o Low _zp S ;� •oJ MKV �• �� ` Ao y LItyC— AS CLA,,MAe f?wwe;L teC9'�' IS -.. . ` '~-@` ' A TM►, - •♦ 1, .y �+ , t «rn4...a[tLSRid"a •�.h,4W -4e.+"r•.. > ;„ !' LOT � I 1({/y�--i. k�L', q tN k ..{•. 1 e *' r ire •" } ., 44 f � , sK .ram "� "`•sl�,x F Kai � i Y � 1•� «4yy y,! t!"�t S .� � ♦ �� }(:�'a wcs. fi 1 i+ lCIZ! Ar Z. : �R�a.. x yy y e /G7 t • +: _ 'f. y['s•g7k k ,1 •,n S. >4'4'�. t ;z: ol I�',;f .^..gip �3.i ;`,. � ,k # hj,� i'r'k' �4; y ry$•�' �n+d �" v<`. b�' .� ✓..a..f H ~y® ���Y y �f ?� 'w("�" "<Fw1 y�yi[ w} d.� �` ' }«Srf � o+ ./1 ip •�••1 � 7 � .� � � +', ifs y.o Spry 1 I �-44 41 `��' :� � t' � �°@, �®�. woe**� ���� � =• �� *R a *+�` �` �+i `�\ � \Y i 1 r II N�.+� '3�t `� •.�p .S'* 1n9�i� S • x;y to; s ., a tioll 04, pq g K VIA/� (1iiADC— VZOON4 Af`1 �.e✓ %V 1"1 G� �,V D 4-L 6.J 1-a TAN CES k,91.i r :.y pit s Ally C0Q215CTAS 5WOVqICI EXGE4� ).. ��it °' ll mow. � t ) y r pyo ' SV1OU� E' t2C�4 .5 -�� ' {:t �'o- £ n `"•°'p ; r� � TRUE 5jays en) �5�i1C�l�1.8� �. a :�' fi _ F � 3JFtks.Cd_ ,o � ._ .. . , X,oggqqqqo PP4ly��f $' 9lar �f10-�w 81B ��.. .':���'���:3A. CN1Z,rJ'j�OPW�I�•.,.�. Cu42�S�TOP��r� �' I .y4 -7k ,�+.;"r � e C _ A C R1 i ar r..�yS y+,. . - •s `Rt ,fit« ,y f ' •. �f ♦ �"�� / O yO f TM E T0� TOWN OF ,BARNSTABLE i 31man'" E, • 9� 19a, ( BUILDING ` INSPECTOR APPLICATION FOR PERMIT TO ........................................ .....:.... .. .................. ..................................... TYPE OF CONSTRUCTION ..�o��y� ..,,.,♦,♦♦,♦♦♦♦♦ ....f 1.............................19.. :3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according the f lowing inf rmation. 14 Location ........................... . . . ..............�: ............. ... ........ ......:....... .......... .. ........... ................................................... ProposedUse ..................... 1 .........:............................................................................ Zoning District ............... R... ...................................Fire District ...... . ... o.. d�-�.............. Name of Owner ''l s ��?1! r.�P�"....�!!�'75/0?��✓..Address ... 4?�t. u ..... 1. ?zT1 .1..'C<< :. 6 Name of Builder !. 1...1 ?!!` "' .. ..4...................Address7 / �� &!�!'�t.♦ ?a �]hl: Nameof Architect ....... ............................:..........................Address .........................♦...............................................f........ Numberof Rooms ..................... .........................................Foundation .... ........................................... ........................ ................ ....................... Exterior ....... ..�`�"�!..:..:.... .......... :.... .......:.........................Roofing 4AT-..-,.2 .. ♦♦...... A��4...... Floors ................... .......... .♦ ... .................. ........:.................................. Heating ..F..... :. ...............Plumbing ............ I Fireplace .............♦. ♦♦ .♦♦.♦♦ll ........................................................Approximate Cost ...... ...`7.. .....................♦.:.. •......... Definitive Plan Approved by Planning Board ________________________________19________. Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF B ARD QF HEALTH C.•� SEPTIC SYSTEM MUST BE' INSTALLED IN COMPLIANCE WITH ARTICLE II STATE , SANITARY CODE AND TOWN RECULA]IONS, �- - /0 . 3� Y I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name, .4,0C---,V (�.. :... .......:... p. .... .. ., Christopher, Christopher - -- � ..�� . , ^ , No .� _ Permit for .......one.............................sto Ik Wk -- -- --..���t��!.������Y .��������.k------- -� . _.^ M±II Road Location— -----'-------------' Centerville -------...=....................----------.. / . Christopher ' \ C)wxnor --- -����� -.. frame Type of Construction .......................................... | _ |----^---------~----''------'' ��� ` Plot -----_--_ Lot .............. � | Permit Granted ......... l4............ .....lg 73 � Dote of Inspection . -��.---lA �� �� «, ` � � Dote Completed ---_--------]� - . � ' 1 \ ! ' � PERMIT. REFUSED ----...................................................... lV ..................................... � x-~---------------'--------'' . > y � ( ' ----.--------........--.-.---.-.. � . . / ----.---.--..-.-----.-.-.---., ' . � < ' Approved.................................................. lA ^ � | � ' ^ � --------------..-.---.--.---. � \ , ---------------------'^^--^- � � .